V0105 pdf 2026

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The document is a supplementary questionnaire (V0105) for individuals to provide additional information about their contribution and employment periods not included in their insurance record. It requests personal details, including name and birth date, and asks for specifics about any further contribution or employment periods, including employer information and the relevant health insurance fund.

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Click ‘Get Form’ to open the v0105 PDF in the editor.
Begin by entering your personal information in the 'Angaben zur Person' section. Fill in your name, first name, and birth name as required.
Next, provide your birth date in the designated field. This is crucial for verifying your identity.
In section 2, detail any additional contribution periods or employment times not included in your insurance history. Clearly specify the type and duration of these periods.
List your employer's name and the health insurance fund you contributed to during this time. Include exact dates for each employment period.
Finally, review all entries for accuracy before submitting. Ensure that any required evidence is attached as specified.

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